Robotic navigation system utilization for percutaneous sacroiliac screw placement: surgical setup and technique.

Autor: Piche JD; Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA., Muscatelli SR; Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA., Waheed MA; Oakland University William Beaumont School of Medicine, Rochester, MI, USA., Patel RD; Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA., Aleem IS; Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.
Jazyk: angličtina
Zdroj: Journal of spine surgery (Hong Kong) [J Spine Surg] 2021 Jun; Vol. 7 (2), pp. 197-203.
DOI: 10.21037/jss-20-681
Abstrakt: Sacroiliac joint (SIJ) pathology is a common cause of significant pain and disability, and operative treatment consisting of SIJ fusion can be performed in cases where non-operative measures fail to provide sustained relief. Through the years, SIJ fusion has evolved from an open invasive procedure, to more recently, being performed through minimally invasive techniques. Intraoperative navigation systems and robotic guidance are becoming popularized for SIJ fusion, as well as other routine and complex spinal cases. The utility of navigation and robotics is the enhanced ability of the surgeon to place instrumentation more accurately, with less dissection, blood less, and overall operative time. We present a technique guide for robotic instrumented SIJ fusion with intraoperative navigation that we have put into practice at our institution and found to be very beneficial to patients for the above reasons. We describe the setup and utilization of these technologies intraoperatively, and provide specific case examples to highlight our technique. The described methods have been found to be effective and reproducible, allowing for minimally invasive SIJ screw placement with high accuracy and safety. We emphasize that utilizing intraoperative navigation and robotics is not meant to substitute for surgeon knowledge of case steps or anatomy, but rather to enhance safety and efficacy. To our knowledge, robotic SIJ fusion has not been previously described in the literature.
Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/jss-20-681). Dr. RDP reports personal fees and other from Globus, outside the submitted work; Dr. ISA reports grants from Orthofix, outside the submitted work. The other authors have no conflicts of interest to declare.
(2021 Journal of Spine Surgery. All rights reserved.)
Databáze: MEDLINE